Fibromyalgia & Chronic Pain LIFE Spring 2015, Issue 11 - Page 9

Professional Medical Advice Table 1 Major Hormones Necessar y for Pain Control Cortisol Estradiol Pregnenolone Thyroid Progesterone Testosterone Dehydroepiandrosterone (DHEA) All of the hormones listed here can be tested as a “Panel” or “Profile” and be practically replaced if found to be deficient. The second development is the accumulated knowledge dating back about 60 years documenting that chronic pain may deplete certain hormones that are essential for pain control. (Table 1) Great credit is given here to the outstanding, hormone research studies involving fibromyalgia patients. Included here are findings that fibromyalgia patients may have deficient hormones such as cortisone, thyroid, and estrogen, and they may have less pain and more energy with hormone replacement. Hormone studies on fibromyalgia patients have also determined that the higher estrogen levels in women are not responsible for the higher prevalence of fibromyalgia in females. The third development is the realization that essentially all our current pharmacologic agents for pain control are simply symptomatic and not curative. This includes antidepressants, anti-inflammatories, anti-seizure agents, muscle relaxants, and opioids. Hormones have curative properties, so chronic pain patients should all have the opportunity to have a hormone profile, replace any hormones found to be deficient, and possibly reduce their pain on a permanent basis. WHAT WE KNOW Two things are abundantly clear. Optimal pain control can’t be achieved with any major hormone deficiency. (Table 1) Hormones are essential for healing, reduction of inflammation, and enhancement of the body’s natural pain control mechanisms. They also enhance prescription medication such as opioids. Any pain patient with a major hormone deficiency will experience a multitude of negative manifestations. (Table 2) Fibromyalgia patients are quite familiar with most of these abnormal physiologic symptoms as they include depression, fatigue, mental impairment (“fog”), insomnia, reclusivity, decreased libido, energy, and appetite. (Table 2) We now know that pain control in the body is highly regulated and dependent upon several hormones. Many of these can be blood tested as a “panel” or “profile.” (Table One) We now know that the